Provider Demographics
NPI:1922171107
Name:TOWERS HOME CARE AND REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:TOWERS HOME CARE AND REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LABRECQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-872-7088
Mailing Address - Street 1:210 LAKE AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3560
Mailing Address - Country:US
Mailing Address - Phone:407-425-2707
Mailing Address - Fax:407-425-5103
Practice Address - Street 1:210 LAKE AVE
Practice Address - Street 2:STE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3560
Practice Address - Country:US
Practice Address - Phone:407-425-2707
Practice Address - Fax:407-425-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208890961251E00000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686621Medicare ID - Type UnspecifiedOUTPATIENT REHAB
FL107510Medicare ID - Type UnspecifiedHOMECARE